Individual
DR. STEPHEN DICKINSON RUSSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2604 YELM HWY SE, OLYMPIA, WA 98501-4820
(360) 915-9832
Mailing address
2604 YELM HWY SE, OLYMPIA, WA 98501-4820
(360) 915-9832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010316
WA
Other
Enumeration date
08/02/2006
Last updated
09/10/2024
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